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and spermatogenesis and potential genetic causes of infertility. Bicuspid aortic valve (BAV) is the commonest congenital heart valve malformation, and is associated with life-threatening complications. Given the high heritability index of BAV, many experts recommend echocardiography screening for first-degree relatives (FDRs) of an index case. Here we aim to evaluate the cost-effectiveness of such cascade screening for BAV. Using a decision-analytic model, we performed a cost-effectiveness analysis of echocardiographic screening for FDR